Open versus laparoscopic approach in the treatment of abdominal emergencies in elderly population.
G Chir
; 37(3): 108-112, 2016.
Article
em En
| MEDLINE
| ID: mdl-27734793
ABSTRACT
AIM:
To evaluate the role of laparoscopy in the treatment of surgical emergency in old population. PATIENTS ANDMETHODS:
Over-70 years-old patients submitted to emergency abdominal surgery from January 2013 to December 2014 were collected and grouped according to admission diagnoses. These accounted small bowel obstruction, colonic acute disease, appendicitis, ventral hernia, gastro-duodenal perforation, biliary disease. In each group it was analyzed the operation time (OT), the morbidity rate and the mortality rate comparing open and laparoscopic management using T-test and Chi-square test.RESULTS:
159 over 70-years-old patients underwent emergency surgery in the General and Emergency surgery Operative Unit (O.U.) of the Policlinic of Palermo. 75 patients were managed by a laparoscopic approach and 84 underwent traditional open emergency surgery. T-Test for OT and Chi-square test for morbidity rate and mortality rate showed no differences in small bowel emergencies (p=0,4; 0,25acute diseases (p=0,35; 0,25
appendicitis (p=0,22; 0,05
ventral hernia (p=0,12; p>0,9; p>0,95) and in gastro-duodenal perforation (p=0,9; p>0.9; p>0.95). In cholecystitis, laparoscopy group showed lower OT (T-Test p= 0,0002) while Chi-square test for morbidity rate (0,1
CONCLUSIONS: The collected data showed the feasibility of laparoscopic management as an alternative to open surgery in surgical emergencies in elderly population.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Doenças do Sistema Digestório
/
Tratamento de Emergência
/
Abdome
/
Hérnia Ventral
Limite:
Aged
/
Humans
Idioma:
En
Revista:
G Chir
Ano de publicação:
2016
Tipo de documento:
Article